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EXCELLENT CARE MEDICAL NY P.C.

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Company Details

Name: EXCELLENT CARE MEDICAL NY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Jul 2009 (16 years ago)
Entity Number: 3829333
ZIP code: 11754
County: Suffolk
Place of Formation: New York
Address: 36 ASPEN ROAD, KINGS PARK, NY, United States, 11754

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
YONG CHI Chief Executive Officer 36 ASPEN ROAD, KINGS PARK, NY, United States, 11754

DOS Process Agent

Name Role Address
YONG CHI DOS Process Agent 36 ASPEN ROAD, KINGS PARK, NY, United States, 11754

National Provider Identifier

NPI Number:
1346470523

Authorized Person:

Name:
YONG CHI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
3473746315

History

Start date End date Type Value
2017-07-06 2025-05-30 Address 36 ASPEN ROAD, KINGS PARK, NY, 11754, USA (Type of address: Chief Executive Officer)
2017-07-06 2025-05-30 Address 36 ASPEN ROAD, KINGS PARK, NY, 11754, USA (Type of address: Service of Process)
2015-08-25 2017-07-06 Address 36 ASPEN ROAD, KINGS PARK, NY, 11754, USA (Type of address: Service of Process)
2011-07-22 2015-08-25 Address 45 HILL PARK AVE #1S, GREAT NECK, NY, 11021, USA (Type of address: Service of Process)
2011-07-22 2017-07-06 Address 45 HILL PARK AVE #1S, GREAT NECK, NY, 11021, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
250530020955 2025-04-14 CERTIFICATE OF DISSOLUTION-CANCELLATION 2025-04-14
170706006259 2017-07-06 BIENNIAL STATEMENT 2017-07-01
150825000094 2015-08-25 CERTIFICATE OF CHANGE 2015-08-25
130709006148 2013-07-09 BIENNIAL STATEMENT 2013-07-01
110722002559 2011-07-22 BIENNIAL STATEMENT 2011-07-01

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State